Briefing on eHR Content Problem & Procedure By Maggie LAU - PowerPoint PPT Presentation

Briefing on eHR Content – Problem & Procedure By Maggie LAU Health Informatician, eHRISO

Agenda Agenda • Problem • Procedure • Hong Kong Clinical Terminology Table (HKCTT) (HKCTT)

PROBLEM

Problem Problem • Can be – diagnosis, – pathophysiological state – significant abnormal physical sign and examination finding – social issue – risk factor – allergy – allergy – reactions to food or drugs – health alert • Problem list includes all active and inactive significant health and social problems • No free text data or data in pdf will be accepted for this domain

Mindmap Mindmap – – Problem (Simplified Version) Problem (Simplified Version)

Mindmap Mindmap – – Problem (Full Version) Problem (Full Version) • For healthcare providers using specific templates, such as Clinical Data Framework (CDF), in which extra identifiers are required to differentiate the captured data.

Example for Problem Example for Problem – – Level 2 Level 2

Example for Problem Example for Problem – – Level 3 Level 3

eHR Viewer eHR Viewer - - Problem Problem

Related Tables for Problem • Codex • Data schema – Data Group – Full version – Diagnosis Status – Simplified version – Recognised Terminology Name - Problem Name - Problem

Data Schema – Problem Simplified Version

Codex – Data Group

Codex – Diagnosis Status

Codex – Recognised Terminology Name (Problem)

PROCEDURE

Procedure Procedure • It includes any significant procedures that are performed for diagnostic, exploratory or treatment purposes. • No free text data or data in pdf will be accepted for this domain

Mindmap Mindmap – – Procedure (Simplified Version) Procedure (Simplified Version)

Mindmap Mindmap – – Procedure (Full Version) Procedure (Full Version) • For healthcare providers using specific templates, such as Clinical Data Framework (CDF), in which extra identifiers are required to differentiate the captured data.

Example for Procedure Example for Procedure – – Level 2 Level 2

Example for Procedure Example for Procedure – – Level 3 Level 3

eHR Viewer eHR Viewer - - Procedure Procedure

Related Tables for Procedure • Codex • Data schema – Data Group – Full version – Recognised Terminology – Simplified version Name - Procedure

Data Schema – Procedure Simplified Version

Codex – Data Group

Codex – Recognised Terminology Name (Procedure)

HONG KONG CLINICAL TERMINOLOGY TABLE (HKCTT)

Recognised Recognised Terminologies in Terminologies in eHR eHR • Compendium of Pharmaceutical Products • Hong Kong Clinical Terminology Table (HKCTT) • International Classification of Diseases, 10th Revision (ICD 10) • International Classification for Primary Care, 2 nd Edition (ICPC2) • International Classification for Primary Care, 2 nd Edition (ICPC2) • Logical Observations, Identifiers Names and Codes (LOINC) • Systematized Nomenclature of Medicine, Clinical Terms (SNOMED CT)

Hospital Authority Hospital Authority Clinical Vocabulary Table (HACVT) Clinical Vocabulary Table (HACVT) Diagnosis ICD 9 CM ICD 10 Procedure Drug Laboratory Lab. Lab. Lab. Lab. Lab.

Building HKCTT Building HKCTT ICPC2 Diagnosis ICD 10 Procedure Compendium of SNOMED CT Drug Pharm Products Laboratory Others

HKCTT HKCTT ICPC2 Diagnosis ICD 10 Procedure HKCTT SNOMED Compendium CT CT Drug Drug of Pharma of Pharma Products Laboratory Others Secondary Use eHR Clinical Data eHR Repository

3 ways to Adopt HKCTT 3 ways to Adopt HKCTT HKCTT App HKCTT Offline HKCTT Core On-ramp / Provider’s Serving All HCPs Adaptation system HKCTT Y Y Y Content (view + download) Terminology Y Y Engine Search Panel Y

Adoption of Health Information Standard Adoption of Health Information Standard HK Clinical HK Clinical Terminology Terminology Table (HKCTT) Table (HKCTT) eHR IS Office eHR IS Office Local Local Local Local 2 Terminology Terminology Mapped Local Mapped Local 3 Terminology T erminology Recognised Recognised 3 Terminology Terminology 3 HKCTT HKCTT

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